NURS 6005 MIDTERM EXAM QUESTIONS WITH
ANSWERS A+ SUCCESS GUARANTEED
Kyle has Crohn's disease and has a documented folate deficiency. Drug therapy for folate
deficiency anemia is:
A. Oral folic acid 1 to 2 mg/day
B. Oral folic acid 1 gm/day
C. IM folate weekly for at least six months
D. Oral folic acid 400 mcg daily
The American Heart Association and the American College of Cardiology have devised a
classification system for heart failure that can be used to direct treatment. Patients with symptoms and
underlying disease are classified as:
A. Stage A
B. Stage B
C. Stage C
D. Stage D
Disease states in addition to hypertension in which beta blockade is a compelling indication for the use
of beta blockers include:
A. Heart failure
B. Angina
C. MI
D. Dyslipidemia
Which of the following classes of drugs is contraindicated in heart failure?
A. Nitrates
B. Long-acting dihydropyridines
C. Calcium channel blockers
D. Alpha-beta blockers
Which of the following is true about procainamide and its dosing schedule?
A. It produces bradycardia and should be used cautiously in patients with cardiac conditions that a
slower heart rate might worsen.
B. GI adverse effects are common, so the drug should be taken with food.
C. Adherence can be improved by using a sustained-release formulation that can be given once daily.
D. Doses of this drug should be taken evenly spaced around the clock to keep an even blood level.
At which stage/classification of hypertension should drug therapy be instituted according to the JNC-
7 Report?
A. Prehypertension
B. Stage 1
C. Stage 2
D. Any stage where the blood pressure is greater than 120/80 mm Hg
Jose is a twelve-year-old overweight child with a total cholesterol level of 180 mg/dL and LDL of 125
mg/dL. Along with diet education and recommending increased physical activity, a treatment plan for
Jose would include with a reevaluation in six months.
A. statins
B. niacin
C. sterols
D. bile acid-binding resins
Patients who have angina, regardless of class, who are also diabetic should be on:
, NURS 6005 MIDTERM EXAM QUESTIONS WITH
ANSWERS A+ SUCCESS GUARANTEED
A. Nitrates
B. Beta blockers
C. ACE inhibitors
D. Calcium channel blockers
If not chosen as the first drug in hypertension treatment, which drug class should be added as the
second step because it will enhance the effects of most other agents?
A. ACE inhibitors
B. Beta blockers
C. Calcium channel blockers
D. Diuretics
Donald has been diagnosed with hyperlipidemia. On the basis of his lipid profile, atorvastatin is
prescribed. Rhabdomyolysis is a rare but serious adverse response to this drug. Donald should be told
to:
A. Become a vegetarian since this disorder is associated with eating red meat
B. Stop taking the drug if abdominal cramps and diarrhea develop
C. Report muscle weakness or tenderness and dark urine to his provider immediately
D. Expect "hot flash" sensations during the first two weeks of therapy
1.2ND LINE TX FOR GERD: quadruple therapy - 2nd line therapy for those who fail treatment
initially is the PPI twice a day plus metronidazole plus tetracycline plus bismuth subsalicylate for 14 days
2.39. How will you choose a diuretic in the treatment of hypertension?: - Check kidney
function, thiazide diuretic need to have a GFR higher than the mid 40 mL/min range...
so you would want to check a BUN and creatinine in these patients
3.After H. pylori treatment is completed, the next step in peptic ulcer disease therapy is:: 1.
Testing for H. pylori eradication with a serum ELISA test
2. Endoscopy by a specialist
3. A proton pump inhibitor for 8 to 12 weeks until healing is complete
*All of the above*
.Angela is a 5-year-old patient who presents to the clinic with a 48-hour history of nausea, vomiting,
and some diarrhea. She is unable to keep fluids down and her weight is 4 pounds less than her last
recorded weight. Besides IV fluids, her exam warrants the use of an antinausea medication. Which
of the following would be the appropriate drug to order for Angela?:
- Ondansetron (Zofran)
5.Antacid's
- S/E: constipation and diarrhea
6.Decongestants such as pseudoephedrine (Sudafed)::
- Should not be prescribed or recommended for children under 4 years of age
.Flovent:
- is an inhaled steroid
.How are upper respiratory infections treated?: -
- Supportive care ...fluids, resting
Phenylephrine can be useful for patients with symptomatic relief in adults without
, NURS 6005 MIDTERM EXAM QUESTIONS WITH
ANSWERS A+ SUCCESS GUARANTEED
- HTN
If a patient with H. pylori-positive peptic ulcer disease fails first-line therapy, the second-
line treatment is::
- Proton pump inhibitor bid plus metronidazole plus tetracycline plus bismuth
subsalicylate for 14 days(P-M-T+BSx14)
.If a patient with symptoms of gastroesophageal reflux disease states that he has been self-treating at
home with OTC ranitidine daily, the appropriate treatment would be::
- Proton pump inhibitor (omeprazole) for 12 weeks
12.Jaide will be traveling to Mexico with her church group over spring break to build houses. She
is concerned she may develop traveler's diarrhea. Advice includes following normal food and water
precautions as well as taking::
- Bismuth subsalicylate with each meal and at bedtime
13.Mech of action for muscarinic antagonist:
- tiotropium bromide is a muscarinic receptor antagonist often referred to as an
antimuscarinic or anticholinergic agent....acts mainly on the M3 muscarinic receptors
located
on smooth muscle cells and submucosal glands this leads to a reduction in smooth
muscle contraction and mucus secretion and thus produces a bronchodilatory effect
14.Metoclopramide improves gastroesophageal reflux disease symptoms by::
- Increasing lower esophageal tone
15.Michelle is a 72-year-old patient who takes omeprazole for her chronic GERD. Chronic long-
term omeprazole use places her at increased risk for::
- Megaloblastic anemia
16.Misoprostol should not be given to:
- Pregnant women
17.Patients on digioxin and albuterol should have what checked?:
- Potassium level
18.Patients who are on chronic long-term proton pump inhibitor therapy require monitoring for::
- Iron deficiency anemia, vitamin B12 and calcium deficiency
19.Reglan (metoclopramide):
- LOWERS esophageal tone- The antiemetic action of metoclopramide is due to its antagonist
activity at the D2 receptors and the chemoreceptor trigger zone in the CNS. . .this action
prevents
nausea and vomiting triggered by most stimuli .. at higher doses the 5HT3 antagonists activity
may also contribute to the antiemetic effect- Remember that the D2 receptor is a dopamine
receptor and
, NURS 6005 MIDTERM EXAM QUESTIONS WITH
ANSWERS A+ SUCCESS GUARANTEED
at the higher the dose the 5HT3 which is the serotonin receptor antagonist activity...so it works
both on dopamine receptors and serotonin receptors but more so on the dopamine receptors
20.Richard is a 10-year-old patient who presents with uncomfortable constipation. Along with diet
changes, a laxative is ordered to provide more rapid relief of constipation. An appropriate choice of
medication for a 10-year-old child would be::
- Bisacodyl (Dulcolax) suppository
22.Stan, a 42-year-old African American, has moderate persistent asthma. Which of the
following asthma medications should be used cautiously, if at all?:
- Salmeterol, an inhaled long-acting beta-agonist
23.Tiotropium bromide (Spiriva) is an inhaled anticholinergic::
- Used for the treatment of chronic obstructive pulmonary disease (COPD)
24.Treatment failure in patients with peptic ulcer disease associated with H. pylori may be because of::
- Antimicrobial resistance
26.What are the disadvantages of using stimulant laxatives for prolonged periods of time?: -
- Long term use of stimulant laxatives can lead to dependence
27.What conditions should cause a patient to avoid the use of antihistamines?:
- Not recommended for patients over the age of 60 or under the age of
- Patient with BPH should avoid what medications
- Antihistamines such as diphenhydramine can also slow urine flow in some men with BPH
.What do H2 blockers do?:
- block the action of histamine on parietal cells specifically the histamine H2 receptors in the
stomach.....this decreases the production of aci
What do PPI's do?:
- - Act by irreversibly blocking the hydrogen potassium, adenosine triphosphates enzyme
system or the ATPA or more commonly the gastric proton pump of the gastric parietal cells
30.What ethnic background should not be prescribed long-acting beta agonists?:
- African Americans
31.What is the first line therapy for peptic ulcer disease with a positive H. pylori?: -
ANSWERS A+ SUCCESS GUARANTEED
Kyle has Crohn's disease and has a documented folate deficiency. Drug therapy for folate
deficiency anemia is:
A. Oral folic acid 1 to 2 mg/day
B. Oral folic acid 1 gm/day
C. IM folate weekly for at least six months
D. Oral folic acid 400 mcg daily
The American Heart Association and the American College of Cardiology have devised a
classification system for heart failure that can be used to direct treatment. Patients with symptoms and
underlying disease are classified as:
A. Stage A
B. Stage B
C. Stage C
D. Stage D
Disease states in addition to hypertension in which beta blockade is a compelling indication for the use
of beta blockers include:
A. Heart failure
B. Angina
C. MI
D. Dyslipidemia
Which of the following classes of drugs is contraindicated in heart failure?
A. Nitrates
B. Long-acting dihydropyridines
C. Calcium channel blockers
D. Alpha-beta blockers
Which of the following is true about procainamide and its dosing schedule?
A. It produces bradycardia and should be used cautiously in patients with cardiac conditions that a
slower heart rate might worsen.
B. GI adverse effects are common, so the drug should be taken with food.
C. Adherence can be improved by using a sustained-release formulation that can be given once daily.
D. Doses of this drug should be taken evenly spaced around the clock to keep an even blood level.
At which stage/classification of hypertension should drug therapy be instituted according to the JNC-
7 Report?
A. Prehypertension
B. Stage 1
C. Stage 2
D. Any stage where the blood pressure is greater than 120/80 mm Hg
Jose is a twelve-year-old overweight child with a total cholesterol level of 180 mg/dL and LDL of 125
mg/dL. Along with diet education and recommending increased physical activity, a treatment plan for
Jose would include with a reevaluation in six months.
A. statins
B. niacin
C. sterols
D. bile acid-binding resins
Patients who have angina, regardless of class, who are also diabetic should be on:
, NURS 6005 MIDTERM EXAM QUESTIONS WITH
ANSWERS A+ SUCCESS GUARANTEED
A. Nitrates
B. Beta blockers
C. ACE inhibitors
D. Calcium channel blockers
If not chosen as the first drug in hypertension treatment, which drug class should be added as the
second step because it will enhance the effects of most other agents?
A. ACE inhibitors
B. Beta blockers
C. Calcium channel blockers
D. Diuretics
Donald has been diagnosed with hyperlipidemia. On the basis of his lipid profile, atorvastatin is
prescribed. Rhabdomyolysis is a rare but serious adverse response to this drug. Donald should be told
to:
A. Become a vegetarian since this disorder is associated with eating red meat
B. Stop taking the drug if abdominal cramps and diarrhea develop
C. Report muscle weakness or tenderness and dark urine to his provider immediately
D. Expect "hot flash" sensations during the first two weeks of therapy
1.2ND LINE TX FOR GERD: quadruple therapy - 2nd line therapy for those who fail treatment
initially is the PPI twice a day plus metronidazole plus tetracycline plus bismuth subsalicylate for 14 days
2.39. How will you choose a diuretic in the treatment of hypertension?: - Check kidney
function, thiazide diuretic need to have a GFR higher than the mid 40 mL/min range...
so you would want to check a BUN and creatinine in these patients
3.After H. pylori treatment is completed, the next step in peptic ulcer disease therapy is:: 1.
Testing for H. pylori eradication with a serum ELISA test
2. Endoscopy by a specialist
3. A proton pump inhibitor for 8 to 12 weeks until healing is complete
*All of the above*
.Angela is a 5-year-old patient who presents to the clinic with a 48-hour history of nausea, vomiting,
and some diarrhea. She is unable to keep fluids down and her weight is 4 pounds less than her last
recorded weight. Besides IV fluids, her exam warrants the use of an antinausea medication. Which
of the following would be the appropriate drug to order for Angela?:
- Ondansetron (Zofran)
5.Antacid's
- S/E: constipation and diarrhea
6.Decongestants such as pseudoephedrine (Sudafed)::
- Should not be prescribed or recommended for children under 4 years of age
.Flovent:
- is an inhaled steroid
.How are upper respiratory infections treated?: -
- Supportive care ...fluids, resting
Phenylephrine can be useful for patients with symptomatic relief in adults without
, NURS 6005 MIDTERM EXAM QUESTIONS WITH
ANSWERS A+ SUCCESS GUARANTEED
- HTN
If a patient with H. pylori-positive peptic ulcer disease fails first-line therapy, the second-
line treatment is::
- Proton pump inhibitor bid plus metronidazole plus tetracycline plus bismuth
subsalicylate for 14 days(P-M-T+BSx14)
.If a patient with symptoms of gastroesophageal reflux disease states that he has been self-treating at
home with OTC ranitidine daily, the appropriate treatment would be::
- Proton pump inhibitor (omeprazole) for 12 weeks
12.Jaide will be traveling to Mexico with her church group over spring break to build houses. She
is concerned she may develop traveler's diarrhea. Advice includes following normal food and water
precautions as well as taking::
- Bismuth subsalicylate with each meal and at bedtime
13.Mech of action for muscarinic antagonist:
- tiotropium bromide is a muscarinic receptor antagonist often referred to as an
antimuscarinic or anticholinergic agent....acts mainly on the M3 muscarinic receptors
located
on smooth muscle cells and submucosal glands this leads to a reduction in smooth
muscle contraction and mucus secretion and thus produces a bronchodilatory effect
14.Metoclopramide improves gastroesophageal reflux disease symptoms by::
- Increasing lower esophageal tone
15.Michelle is a 72-year-old patient who takes omeprazole for her chronic GERD. Chronic long-
term omeprazole use places her at increased risk for::
- Megaloblastic anemia
16.Misoprostol should not be given to:
- Pregnant women
17.Patients on digioxin and albuterol should have what checked?:
- Potassium level
18.Patients who are on chronic long-term proton pump inhibitor therapy require monitoring for::
- Iron deficiency anemia, vitamin B12 and calcium deficiency
19.Reglan (metoclopramide):
- LOWERS esophageal tone- The antiemetic action of metoclopramide is due to its antagonist
activity at the D2 receptors and the chemoreceptor trigger zone in the CNS. . .this action
prevents
nausea and vomiting triggered by most stimuli .. at higher doses the 5HT3 antagonists activity
may also contribute to the antiemetic effect- Remember that the D2 receptor is a dopamine
receptor and
, NURS 6005 MIDTERM EXAM QUESTIONS WITH
ANSWERS A+ SUCCESS GUARANTEED
at the higher the dose the 5HT3 which is the serotonin receptor antagonist activity...so it works
both on dopamine receptors and serotonin receptors but more so on the dopamine receptors
20.Richard is a 10-year-old patient who presents with uncomfortable constipation. Along with diet
changes, a laxative is ordered to provide more rapid relief of constipation. An appropriate choice of
medication for a 10-year-old child would be::
- Bisacodyl (Dulcolax) suppository
22.Stan, a 42-year-old African American, has moderate persistent asthma. Which of the
following asthma medications should be used cautiously, if at all?:
- Salmeterol, an inhaled long-acting beta-agonist
23.Tiotropium bromide (Spiriva) is an inhaled anticholinergic::
- Used for the treatment of chronic obstructive pulmonary disease (COPD)
24.Treatment failure in patients with peptic ulcer disease associated with H. pylori may be because of::
- Antimicrobial resistance
26.What are the disadvantages of using stimulant laxatives for prolonged periods of time?: -
- Long term use of stimulant laxatives can lead to dependence
27.What conditions should cause a patient to avoid the use of antihistamines?:
- Not recommended for patients over the age of 60 or under the age of
- Patient with BPH should avoid what medications
- Antihistamines such as diphenhydramine can also slow urine flow in some men with BPH
.What do H2 blockers do?:
- block the action of histamine on parietal cells specifically the histamine H2 receptors in the
stomach.....this decreases the production of aci
What do PPI's do?:
- - Act by irreversibly blocking the hydrogen potassium, adenosine triphosphates enzyme
system or the ATPA or more commonly the gastric proton pump of the gastric parietal cells
30.What ethnic background should not be prescribed long-acting beta agonists?:
- African Americans
31.What is the first line therapy for peptic ulcer disease with a positive H. pylori?: -
